Provider Demographics
NPI:1487217329
Name:UCEE ACUPUNCTURE CLINIC INC
Entity Type:Organization
Organization Name:UCEE ACUPUNCTURE CLINIC INC
Other - Org Name:UCEE ACUPUNCTURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOONHWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-426-8281
Mailing Address - Street 1:8195 PRESIDIO DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4027
Mailing Address - Country:US
Mailing Address - Phone:408-426-8281
Mailing Address - Fax:833-305-0201
Practice Address - Street 1:730 E EL CAMINO REAL STE B
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2971
Practice Address - Country:US
Practice Address - Phone:408-426-8281
Practice Address - Fax:833-305-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4252817OtherSTATE FILE NUMBER